Methods of dental patient examination . Dental medical documentation . Case history.

1. Methods of dental patient examination. Dental medical documentation. Case history.

2. Examination methods • clinical (main) – using near patient bed or dental unit; • paraclinical (additional) - insrtumental, lab, x-ray. All examinations that hold usind additional services.

3. Main examination methods • subjectively (patient interview) - complaints, life history,anamnesis; • Object examination – external and internal mouth review.

4. Additional tests • Special clinical tests(temperature diagnostics, index rating of oral hydiene, periodontal index); • Functional tests methods(electric pulp test,fluorescent diagnostics, determination of periodontal capillaries); • Lab test methods(clinical and biochemical parameters of blood, urine, saliva, oral and gingival liquids); • Microbiological; • Allergic; • X-ray.

5. Clinical examination methods

6. Clinical examination methods • Patient interview; • External review; • Examination of temporal - mandibular joints and masticatory muscles; • Oral examination: - review of the oral cavity; - review of teeth and dental series; - Periodontal research; - Examination of toothless alveolar.

7. Clinical examination methods Patient interview • Complains and subjective state of the patient; • history of the decease • life history

8. Objective examinations Purpose ofreview – to detect changes in the maxillofacial region after the help requestor during preventive examinations. Review consists of external view and mooth cavity examinations.

9. What to pay atteniton : • Skin condition (color, turgor, rashes, scars) • nasolabial folds severity (smooth, mildly expressed, depth) • Line of lip closure • Degree of teeth baring during talking and smiling • chin position (straight, stands, falls, displaced away) • Face symmetry

10. Teeth examination • Shape and size of teeth ; • color; • carious cavities(contact surfaces); • shape of dental series; • bite.

11. Percussion - Tooth tapping is used for periodontal status determination. • Vertical. • Horisontal.

12. Palpation is used for soft issues

13. determined with tweezers or fingers by rocking the tooth Tooth mobility

14. Additional examination methods

15. Temperature tests Normal pulp tooth reacts on temperature deviations.. Indifferent area for cutting teeth is 30°С (50—52°С — warm, 17 — 22°С — cooling).

16. Functional methods of examination Electric pulp test is used for detecting electrical excitability of tooth.

17. Functional methods of examination Fluorescent diagnostics. Determination of periodontal capillaries (Kulazhenko’s test) Reography

18. X-ray research

19. Intraoral radiography • Ortho pantomo graph • Tomography • Sialograph

20. Ray direction for tooth capture

23. 1 - mastoid process; 2 – bottom orbit contour; 3 - malar arch; 4 - hard palate; 5 - styloid process; 6 – bone bridge; 7 - maxillary tuber; 8 - leading edge; 9 – jaw corner; 10- hyoid bone; 11- fossa of the mandible bone ; 12 - articular eminence; 13 - mandibular head; 14 - alveary ; 15 – mandibular process; 16 - alary process ; 17 - upper jaw sinus; 18–shadow pinna ; 19 – mandibular canal ; 20 – genial hole

24. 5-year kid orthopantomogram

25. 34th & 35th radio sight. Radio sighting machine

26. Funtional tests • Bubble test. • Histamine test.

27. Laboratory methods • General clinical blood analysis . • Biochemical research of blood and urine. • Microscopic methods. • Cytological methods. • Biopsy. • Bacteriological research.

28. Medical documentation • Medical card of dentistry patient - 043-0 Application • Dentist everyday work card - 037/о application • Preventive works journal - 049/о application

29. Good bye!